Current practice toward the use of antihypertensive agents in the management of hypertension – A cross-sectional study among Indian physicians
Objective: The objective of this study was to assess current practices and usage patterns of antihypertensive medications in managing hypertension (HTN) in India. Materials and Methods: A cross-sectional, observational digital study was conducted among health-care practitioners (HCPs) across India (...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Heart India |
| Subjects: | |
| Online Access: | http://www.heartindia.net/article.asp?issn=2321-449X;year=2023;volume=11;issue=3;spage=144;epage=151;aulast=Sreenivasamurthy |
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| author | L Sreenivasamurthy Vinod Mittal Pramod Joshi Ramesh Dargad Subhamoy Chatterjee Vikas Singh Febin Francis Nitin Zalte Amarnath Sugumaran |
| author_facet | L Sreenivasamurthy Vinod Mittal Pramod Joshi Ramesh Dargad Subhamoy Chatterjee Vikas Singh Febin Francis Nitin Zalte Amarnath Sugumaran |
| author_sort | L Sreenivasamurthy |
| collection | DOAJ |
| description | Objective: The objective of this study was to assess current practices and usage patterns of antihypertensive medications in managing hypertension (HTN) in India.
Materials and Methods: A cross-sectional, observational digital study was conducted among health-care practitioners (HCPs) across India (November 2022–March 2023).
Results: A total of 792 HCPs (cardiologists, consulting, and general physicians) participated in this study. According to 63.38% of HCPs, 20–50 essential HTN patients seek consultation weekly. The majority of patients were in the age range of 40–60 years (84.09%). A total of 67.55% of HCPs mentioned that systolic blood pressure (BP) ranged between 140 and 160 mmHg. Type 2 diabetes mellitus was the most common comorbidity among hypertensive patients (84.09%). In total, 53.79% and 37.37% of HCPs preferred angiotensin receptor blockers (ARBs)/angiotensin-converting enzyme and calcium channel blockers (CCBs) as the first choice of antihypertensive agents. The majority of HCPs (>69%) preferred prescribing a triple-drug fixed-dose combination (FDC) of CCBs + ARB + diuretics in hypertensive patients with coronary artery disease (CAD) and resistant HTN. The majority (89.90%) of HCPs preferred prescribing FDC of CCBs over monotherapy. Amlodipine (>55%) followed by cilnidipine (>32%) were preferred CCBs for young and older hypertensive patients. In patients with essential HTN without any CVD, amlodipine (72.85%) was the preferred CCB. Vascular selectivity (59.09%) and longer half-life (54.55%) were important factors for prescribing CCBs. Resistant HTN, inadequate BP control with monotherapy, and the presence of CAD were all (62.63%) important considerations for FDC with CCBs. The underutilization of CCBs in managing HTN (63.88%) was highlighted.
Conclusion: Overall responses provide a comprehensive overview of the prevailing perception and the usage patterns of antihypertensive agents employed by HCPs in India. |
| first_indexed | 2024-03-08T13:10:53Z |
| format | Article |
| id | doaj.art-00620c9d79f8458081a2434dbc8b6661 |
| institution | Directory Open Access Journal |
| issn | 2321-449X |
| language | English |
| last_indexed | 2025-03-22T05:14:48Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart India |
| spelling | doaj.art-00620c9d79f8458081a2434dbc8b66612024-04-27T05:29:52ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2023-01-0111314415110.4103/heartindia.heartindia_69_23Current practice toward the use of antihypertensive agents in the management of hypertension – A cross-sectional study among Indian physiciansL SreenivasamurthyVinod MittalPramod JoshiRamesh DargadSubhamoy ChatterjeeVikas SinghFebin FrancisNitin ZalteAmarnath SugumaranObjective: The objective of this study was to assess current practices and usage patterns of antihypertensive medications in managing hypertension (HTN) in India. Materials and Methods: A cross-sectional, observational digital study was conducted among health-care practitioners (HCPs) across India (November 2022–March 2023). Results: A total of 792 HCPs (cardiologists, consulting, and general physicians) participated in this study. According to 63.38% of HCPs, 20–50 essential HTN patients seek consultation weekly. The majority of patients were in the age range of 40–60 years (84.09%). A total of 67.55% of HCPs mentioned that systolic blood pressure (BP) ranged between 140 and 160 mmHg. Type 2 diabetes mellitus was the most common comorbidity among hypertensive patients (84.09%). In total, 53.79% and 37.37% of HCPs preferred angiotensin receptor blockers (ARBs)/angiotensin-converting enzyme and calcium channel blockers (CCBs) as the first choice of antihypertensive agents. The majority of HCPs (>69%) preferred prescribing a triple-drug fixed-dose combination (FDC) of CCBs + ARB + diuretics in hypertensive patients with coronary artery disease (CAD) and resistant HTN. The majority (89.90%) of HCPs preferred prescribing FDC of CCBs over monotherapy. Amlodipine (>55%) followed by cilnidipine (>32%) were preferred CCBs for young and older hypertensive patients. In patients with essential HTN without any CVD, amlodipine (72.85%) was the preferred CCB. Vascular selectivity (59.09%) and longer half-life (54.55%) were important factors for prescribing CCBs. Resistant HTN, inadequate BP control with monotherapy, and the presence of CAD were all (62.63%) important considerations for FDC with CCBs. The underutilization of CCBs in managing HTN (63.88%) was highlighted. Conclusion: Overall responses provide a comprehensive overview of the prevailing perception and the usage patterns of antihypertensive agents employed by HCPs in India.http://www.heartindia.net/article.asp?issn=2321-449X;year=2023;volume=11;issue=3;spage=144;epage=151;aulast=Sreenivasamurthyamlodipineantihypertensive agentsangiotensin receptor blockerscalcium channel blockerdigital questionnairefixed-dose combinationhealth-care practitioners |
| spellingShingle | L Sreenivasamurthy Vinod Mittal Pramod Joshi Ramesh Dargad Subhamoy Chatterjee Vikas Singh Febin Francis Nitin Zalte Amarnath Sugumaran Current practice toward the use of antihypertensive agents in the management of hypertension – A cross-sectional study among Indian physicians Heart India amlodipine antihypertensive agents angiotensin receptor blockers calcium channel blocker digital questionnaire fixed-dose combination health-care practitioners |
| title | Current practice toward the use of antihypertensive agents in the management of hypertension – A cross-sectional study among Indian physicians |
| title_full | Current practice toward the use of antihypertensive agents in the management of hypertension – A cross-sectional study among Indian physicians |
| title_fullStr | Current practice toward the use of antihypertensive agents in the management of hypertension – A cross-sectional study among Indian physicians |
| title_full_unstemmed | Current practice toward the use of antihypertensive agents in the management of hypertension – A cross-sectional study among Indian physicians |
| title_short | Current practice toward the use of antihypertensive agents in the management of hypertension – A cross-sectional study among Indian physicians |
| title_sort | current practice toward the use of antihypertensive agents in the management of hypertension a cross sectional study among indian physicians |
| topic | amlodipine antihypertensive agents angiotensin receptor blockers calcium channel blocker digital questionnaire fixed-dose combination health-care practitioners |
| url | http://www.heartindia.net/article.asp?issn=2321-449X;year=2023;volume=11;issue=3;spage=144;epage=151;aulast=Sreenivasamurthy |
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